DA Form 1 - 134 Ferrells Rd, COOROY

PART 6 – INFORMATION REQUEST

19) Information request under Part 3 of the DA Rules
I agree to receive an information request if determined necessary for this development application
I do not agree to accept an information request for this development application
Note: By not agreeing to accept an information request I, the applicant, acknowledge:
 •    that this development application will be assessed and decided based on the information provided when making this
      development application and the assessment manager and any referral agencies relevant to the development application
      are not obligated under the DA Rules to accept any additional information provided by the applicant for the development
      application unless agreed to by the relevant parties
 •    Part 3 of the DA Rules will still apply if the application is an application listed under section 11.3 of the DA Rules.
Further advice about information requests is contained in the DA Forms Guide.


PART 7 – FURTHER DETAILS

20) Are there any associated development applications or current approvals? (e.g. a preliminary approval)
Yes – provide details below or include details in a schedule to this development application
No X
List of approval/development             Reference number               Date                           Assessment
application references                                                                                 manager
Approval
Development application
Approval
Development application

21) Has the portable long service leave levy been paid? (only applicable to development applications involving
    building work or operational work)
Yes – a copy of the receipted QLeave form is attached to this development application
No – I, the applicant will provide evidence that the portable long service leave levy has been paid
  before the assessment manager decides the development application. I acknowledge that the
  assessment manager may give a development approval only if I provide evidence that the portable
  long service leave levy has been paid
Not applicable (e.g. building and construction work is less than $150,000 excluding GST)
Amount paid                       Date paid (dd/mm/yy)                         QLeave levy number (A, B or E)
$


22) Is this development application in response to a show cause notice or required as a result of an
enforcement notice?
Yes – show cause or enforcement notice is attached
No X

23) Further legislative requirements
Environmentally relevant activities
23.1) Is this development application also taken to be an application for an environmental authority for
an Environmentally Relevant Activity (ERA) under section 115 of the Environmental Protection Act
1994?
Yes – the required attachment (form ESR/2015/1791) for an application for an environmental
  authority accompanies this development application, and details are provided in the table below